New York’s State of Home Care

The new policy requires all long term Medicaid home care services to now be provided through home care agency contracts as part of managed care. The change presents a fundamental shift in service delivery, payment and regulation. It has included the state’s reshuffling of billions of dollars in reimbursement, a succession of new regulatory mandates, and transitioning nearly a hundred‐thousand patients from their existing community service arrangements into different service settings – with more patients transitioning every day.